Fungal Sinusitis: Radiological Aspects
Received Date: Aug 30, 2019 / Accepted Date: Sep 30, 2019 / Published Date: Oct 07, 2019
Introduction: Fungal sinusitis is a well-known entity. They are grouped into invasive forms and non-invasive forms. The diagnosis is often late and difficult given the varied and non-specific nature of the clinical signs. Invasive forms, which cause serious complications that are life-threatening, require rapid diagnosis. The objective was to illustrate the different radiological aspects of fungal sinusitis by specifying for each group its clinical and anatomo-mycological particularities.
Methods: This was a retrospective study of 30 cases of fungal sinusitis collected in service over a 20-year period (1998-2017). All patients had an imaging.
Results: Our series included 30 cases divided into 16 cases of fungal ball, 5 cases of allergic form, 5 cases of chronic invasive fungal sinusitis and 4 cases of mucormycosis. A female predominance was noted with a sex ratio of 0.3. The clinical picture was nonspecific. The functional signs were dominated by rhinorrhea, nasal obstruction and facial pain. Imaging, based on CT (Computed tomography) and/or MRI, was performed in all patients. The radiological signs varied according to the type of fungal attack. All patients were operated on. The diagnosis was mycological and/ or pathological.
Conclusion: The clinical picture of fungal sinusitis is nonspecific. However, one must know how to think of the invasive forms before any trailing sinusitis on a field of immunodepression. Imaging is of great value in the diagnostic and therapeutic approach.
Keywords: Sinus of the face; Aspergillosis; Mucormycosis; Imaging
Citation: Jihène M, Maha M, Samia M, Zainine R, Mohamed BA, et al. (2019) Fungal Sinusitis: Radiological Aspects. Otolaryngol (Sunnyvale) 9:381. Doi: 10.4172/2161-119X.1000381
Copyright: © 2019 Jihène M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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